University Dermatology, Pllc

NPI 1588711584 - Specialist - 174400000X

NPI Details
NPI 1588711584
Enumeration Date 01/04/2007
Last Updated 10/23/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KERRY M KERRY
Position MANAGING PHYSICIAN
Phone (704) 596-1787
Fax (704) 596-6230
Practice Location
3006 BAUCOM RD
SUITE 100
CHARLOTTE NC, 28269-6762, US
Phone (704) 596-1787
Fax (704) 596-6230
Business Location
3006 BAUCOM RD
SUITE 100
CHARLOTTE NC, 28269-6762, US
Phone (704) 596-1787
Fax
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 39997
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According to our database, University Dermatology, Pllc NPI is 1588711584, taxonomy code is 174400000X and license number is 39997, license state is located at North Carolina. University Dermatology, Pllc physically located at 3006 Baucom Rd, Charlotte NC, 28269-6762. NPI Number 1033115704 has the healthcare provider type.

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1588711584 NPI number is provided on an as is basis without warranty of any kind. 1588711584 is maintained by the National Plan & Provider Enumeration System. The contents of University Dermatology, Pllc are for informational purposes only.